HomeMy WebLinkAbout1993-Electric 4 fl
CITY OF OSHKOSH
N2 34236
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECk PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ge / 1 3 ` - l 27 -4" PLAN NO.
OWNER `/(4 W
DESIGNER
USE /NATURE OF WORK
1 c
l_/ 1
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change ❑ Tgmp ❑ Type " Volt Amps °�
Fixtures Switches Receptacles Circuits l
PLUMBING CONTRACTOR
BT WH Disp WSoft _ CBasin
Lav _ Sh DW DF San. Sewer
WC FDr SP _ Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ el ect Permit Fee Paid $ /S Park Dedication $
ISSUED BY ///./__ — Date ‘' — 7- 75 Final /O.P. /0 -21-93
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _ �� ._ ji/� _ 6 ' 7— 7 3
AGENT /. ER DATE
ADDRESS 2� V -7(/
TELEPHONE #
PERMIT NO .A 9 2' 3° , APPL . DATE 1 7 /— / — y3
ELEC. CONTR.
OWNER .67
ADDRESS / 79 0 7 � -1 ✓
NATURE OF WORK 1 , 1
ELEC. SERV. NEW D$ CHANGE TEMP.
DISC. TYPE - I+- — v 4 VOLTS f" a a AMPS o s
FIX'S ► SW'S • RECEPT' CIRC'S
APPLIANCES V
11^ W a,3 y,�
SIGNS ' (- . _ SERVI CE C/ - � FINAL ioh' f
INSP. ROUGHIN o � `� i
EST. COST PERMIT FEE DATE PD.
REMARKS